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Organization
WEST COAST MEDICAL GROUP INC
Active
Organization
WEST COAST MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD EVANS (CEO)
(727) 942-5000
Entity
Organization
Contact information
Practice address
36503 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1340
(727) 787-5151
Mailing address
1395 S PINELLAS AVE, TARPON SPRINGS, FL 34689-3790
(727) 942-5000
(727) 942-5161
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME0075919
FL
207R00000X
Internal Medicine Physician
ME0099826
FL
207R00000X
Internal Medicine Physician
Primary
ME92944
FL
Other
Enumeration date
10/19/2007
Last updated
06/03/2010
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